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  • .Trashed 1672391155 Lecture 2 MARPS 26th Sept

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    The document discusses Most-At-Risk Populations (MARPS) including commercial sex workers, men who have sex with men, and injecting drug users. It outlines reasons for the vulnerability of women and people who inject drugs to HIV/AIDS, such as anatomical and socioeconomic factors for women and needle sharing and drug use for people who inject drugs. The lecture concludes with assigning groups to discuss benefits of focusing on MARPS in Kenya and harm reduction methods for preventing HIV among injecting drug users.

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    The document discusses Most-At-Risk Populations (MARPS) including commercial sex workers, men who have sex with men, and injecting drug users. It outlines reasons for the vulnerability of women and people who inject drugs to HIV/AIDS, such as anatomical and socioeconomic factors for women and needle sharing and drug use for people who inject drugs. The lecture concludes with assigning groups to discuss benefits of focusing on MARPS in Kenya and harm reduction methods for preventing HIV among injecting drug users.

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    8 views13 pages

    .Trashed 1672391155 Lecture 2 MARPS 26th Sept

    Uploaded by

    allan kipchumba
    The document discusses Most-At-Risk Populations (MARPS) including commercial sex workers, men who have sex with men, and injecting drug users. It outlines reasons for the vulnerability of women and people who inject drugs to HIV/AIDS, such as anatomical and socioeconomic factors for women and needle sharing and drug use for people who inject drugs. The lecture concludes with assigning groups to discuss benefits of focusing on MARPS in Kenya and harm reduction methods for preventing HIV among injecting drug users.

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    of 13

    GENDER, HIV/AIDS &

    SUBSTANCE USE

    LECTURE 2: MARPS

    Joyce Maina
    Lecture Outline
    Background
    Vulnerability of
    Women
    Vulnerability of
    PWID
    Group Discussion
    1. Background

    Risk
    Most-At-Risk-Population
    1. Background
    CSW
    MSM
    IDUs
    Others
    2. Vulnerability of Women
    Higher prevalence among women
    Higher incidence among women

    Primary route of infection-Sexual Activity


    Result of Partner’s behaviour
    90% heterosexual transmission
    2. Reasons for Vulnerability
    Anatomical Differences
    Tissue/Membrane Vulnerability

    Vaginal Surface Area

    Asymptomatic STIs

    Viral Load
    2. Reasons for Vulnerability
    Socio-Economic Gender Inequities
    Access to Employment
    Female Controlled Prevention Methods

    Dependence
    (S) GBV
    2. Reasons for Vulnerability
    Cultural Practices & Norms
    Male Dominance
    Female Submissiveness
    Double Standards
    3. Vulnerability of PWID

    PWID/IDU
    53% of IDUs are HIV positive
    PWID 22x more infection likelihood
    4 in every 100 Infection (2018)
    Harm Reduction Programs (2012)
    3. Reasons for Vulnerability of IDU
    Sharing Needles
    Vi-Pointing
    Flash Blooding
    3. Reasons for Vulnerability of IDU
    Poverty
    Injecting
    Drugs and Sex Work
    Imprisonment & Detention
    Group Assignment 2
    Question Four
    Describe the benefits of focussing on MARPS
    in HIV prevention and control in Kenya
    Question Five
    Name some of the harm reduction methods and
    explain their role in prevention of HIV among
    IDU

    Due Date 12th Oct (online); 14th Oct(hardcopy)


    Total Maximum 1000 Words

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